Leidenheimer Dental Group

NPI #1639454804 in Elyria, Ohio

Provider Information

NPI Number: 1639454804
Entity Type: Organization
Organization Name: Leidenheimer Dental Group
Primary Specialty: Specialist
Enumeration Date: Oct 19, 2011
Last Updated: Jan 26, 2012

Practice Location

Address: 42707 N RIDGE RD
City: Elyria
State: Ohio
ZIP Code: 44035-1054
Phone: (440) 324-3441

Authorized Official

Name: MRS. JENNIFER ANN SOCHACKI
Title: MANAGER
Phone: (440) 324-3441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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